Please note that this form is for current process servers to report their service results to H.I.
Please provide the following contact information:
Server Name File Number: (last 3 digits) TODAYS Date: Name of Person/Business being Served Address Served (IF different than field sheet)
Type of Service: Name of Person Served if not Individual Title (spouse/roommate/CEO, etc.)
INDIVIDUAL SUBSTITUTE - RESIDENCE SUBSTITUTE - SPOUSE NON-SERVED - DILIGENT NON-SERVED - RETURNED POSTED - RESIDENTIAL CORPORATE SERVICE
Was document Posted? If checked: First Attempt Date: Time:
Second Attempt: Date: Time:
Additional Comments